go back

Wisconsin rates for HCPCS 00103

Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)

Facilitymedian $457 · 10th–90th $457–$9770%20%40%90th$457Professionalmedian $912 · 10th–90th $309–$1,7380%10%20%10th90th$912$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$457.09 / $457.09 / $977.24
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$724.44 / $954.99 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$309.03 / $676.08 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$691.83 / $691.83 / $794.33
Security Health
Facility/Professional
Professional
Modifier
AD
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10